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Premature ejaculation and reduced sexual sensation during intercourse
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Sexual Health & Wellness
Question #18314
238 days ago
474

Premature ejaculation and reduced sexual sensation during intercourse

Souhaib

Hello Doctor, I am seeking professional advice regarding a sexual health concern. During sexual intercourse, I often experience premature ejaculation, usually occurring within about 7 minutes or sometimes even sooner. This has been affecting my confidence and overall satisfaction. In addition, during intercourse I notice reduced sexual sensation and difficulty maintaining strong arousal for a longer period. At times, the sensation feels weak, which makes it harder to continue comfortably. I suspect that this issue may be related to my past habit of frequent masturbation, but I am not sure if this is the real cause or if there could be other medical or psychological reasons. I would like to know what could be causing premature ejaculation and reduced sensation, and what treatment options are available. I am interested in safe medical treatments, natural remedies, exercises, or behavioral techniques that could help delay ejaculation and improve control. I do not wish to use Viagra, as I do not have erectile dysfunction or heart-related conditions. My main goal is to naturally increase the duration of intercourse and improve sexual performance in a healthy and safe way. Please advise if any tests or lifestyle changes are recommended. Thank you.

Premature ejaculation
Sexual performance
Reduced sensation
Male sexual health
Masturbation
$7.5
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Doctors' responses

Hello dear See for premature ejaculation please follow below precautions and medication Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises Take shilajeet for 1 month once a day In case of no improvement in 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards

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Hello,

Stay calm , You have got this !!

Premature ejaculation is very common, especially in men The good news is that it can be managed effectively with the right approach.

1.You can begin with behavioural methods;Start stop technique,Squeeze technique 2.Do kegel exercises 3.Use condoms 4.Maintain good lifestyle- exercise,good sleep

Then go with numbing sprays

You can try natural remedies like Aswagandha, Saffron,WALNUT (High success rate)

If and only if behavioural and topical methods is not working , (2-3 months)consult a sexologist or urologist for medical therapy.

👍About tests;

Only if PE is long-term, sudden, or happens with other problems.

Possible tests include:

Blood tests Blood sugar (diabetes) Thyroid test (TSH) Hormone levels (testosterone)

Urine test To rule out infection (if pain, burning, discharge)

Physical examination Penis and testicles Prostate (only in adults, rarely in young people)

Don’t worry. 🛑This is completely manageable in most cases.

Thank you

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Premature ejaculation is a common issue many men face, and it’s understandable that you’re seeking solutions for it. The time you describe is actually within the “normal” range, but if it’s causing distress, it’s worth exploring further. There can be several factors at play, including psychological components like anxiety or stress, which can exacerbate premature ejaculation. It’s important to also consider physical factors, potentially including hypersensitivity or underlying conditions that could affect both arousal and sensation.

Since you mentioned a history of frequent masturbation, this could potentially impact sensitivity or the ejaculatory reflex over time. However, it’s not necessarily the sole cause and eliminating this won’t always resolve the issue. To address this, you might explore behavioral techniques such as the “stop-start” method or “squeeze” technique. These involve pausing stimulation to delay ejaculation and can over time help you achieve better control.

Pelvic floor exercises, or Kegel exercises, are another great way to gain better control over ejaculation. These exercises strengthen the muscles involved in ejaculation, potentially improving duration.

On the medical front, options like topical anesthetic creams can reduce sensitivity, though they need to be used cautiously to avoid affecting your partner’s sensation. If anxiety is a factor, low-dose selective serotonin reuptake inhibitors (SSRIs) may help, but this requires a conversation with a healthcare provider to consider potential side effects. Therapy or counseling might also be beneficial, particularly if performance anxiety or relationship dynamics play a part.

As for reduced sensation, any underlying medical issues, such as nerve function affecting sensation, or hormonal imbalances, may need evaluation. If other symptoms or persistent problems occur, consulting a healthcare professional for comprehensive evaluation and necessary tests, like hormone levels or neurological function, is advisable.

Lifestyle factors such as regular exercise, stress management, and maintaining a healthy diet can also contribute positively by improving circulation and boosting mood and energy levels, ultimately enhancing sexual performance. Limiting alcohol and avoiding recreational drugs is similarly beneficial given their potential impact on sensation and performance.

Ultimately, the best approach is often a combination tailored to your specific needs and circumstances. If after trying these steps you’re still experiencing issues, or if you’re concerned about underlying causes, don’t hesitate to seek a specialist consultation, potentially with a urologist or a sex therapist, who can offer more targeted interventions based on your personal medical history and current health.

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Hello Souhaib

See before taking any medication I would like to suggest some curative and preventive measures for better clarity Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises atleast half an hour daily Take shilajeet once a day for 1 month once a day . Focus on a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Foods like nuts, seeds, and dark chocolate can be beneficial.

Thank you

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Personal counselling is needed. This requires physical consultation.

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Hello, thanks for sharing your concern so openly.

Premature ejaculation around 7 minutes with reduced sensation is common and usually treatable, often linked to performance anxiety, heightened sensitivity, or past masturbation patterns but rarely due to serious disease.

Very effective non-Viagra options include start–stop and squeeze techniques, pelvic floor (Kegel) exercises, condoms or topical desensitizing sprays, and structured psychosexual or cognitive‑behavioural therapy to break the anxiety–ejaculation cycle.

Lifestyle measures like regular exercise, good sleep, limiting porn, cutting down alcohol/smoking, and open communication with your partner further improve control and sensation over time.

With guided therapy and follow‑up, most men gain much better control and confidence, and medicines (like SSRIs) are used only if needed and can often be tapered later.

Dr Nikhil Chauhan Urologist

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